Tennessee Beekeepers Association Membership Application

Please print and mail to address below:

Renewal      New Member       (circle one)    Please fill in EVERY blank, we need the info.

Name_______________________________________  Phone Number (______)___________________

Address_____________________________________________________________________________

Email___________________________________  County of residence___________________________

City__________________________________________________State______ Zip________________

Name of Local Association_____________________________                 

Tennessee Apiaries Registration Number________________

Local Association Position (Pres), (VP) etc.______________

Local association TBA Director ( ) or alt. Director ( )

Number of Colonies_______    Years as beekeeper_________

The year you joined Tennessee state association_____________

Are you willing to move your bees for pollination? ________If so, how many hives? _____________

Membership Type (Please check one)

1 Year Membership Single ($10) ______ Family ($22) ______ (Up to 4 family members) Names____________________________________________________________________

2 Year Membership Single ($18) ______ Family ($40) ______ (Up to 4 family members) Names____________________________________________________________________

3 year Membership Single ($26) ______ Family ($60) ______ (Up to 4 family members) Names____________________________________________________________________

Gold Member Single Only ($175) - _______ (Dues Paid for Life of Member)

Please mail form and dues to:   Petra Mitchell
                                                   3900 Rock Springs Road
                                                   Watertown, TN 37184